Meliagros Pete, Forrest Rebecca
Department of Internal Medicine, Hospital Medicine, VCU Health, West Hospital, 6Th Floor, East Wing 206, 1200 East Broad Street, P.O. Box 980509, Richmond, VA, 23298-0509, USA.
Internal Medicine Training Program, Department of Internal Medicine, Hospital Medicine, Virginia Commonwealth University School of Medicine/VCU Health, Richmond, VA, USA.
J Gen Intern Med. 2025 Jul 8. doi: 10.1007/s11606-025-09677-2.
Select graduating residents across various specialties will need to perform bedside procedures as fellows, as supervising faculty, or as practicing providers. Therefore, the development of a focused and structured curriculum is needed to enhance procedure training.
We aim to introduce reproducible frameworks and tools for procedure training.
Virginia Commonwealth University internal medicine residents rotate through a two-tertiary care hospital system which consists of 1200 inpatient beds.
Categorical internal medicine residents participated in this curriculum with no significant difference in age, gender, or percentage of residents pursuing procedure-related fields before or after curriculum implementation.
The procedure curriculum entails just-in-time simulation-based mastery learning (SBML) for bedside procedures with complete supervision in a clinical environment thereafter with multimodal assessments regardless of competency level achieved at the discretion of a procedure competency committee.
Residents provide feedback via dedicated evaluations for faculty, SBML sessions, procedure rotation, and program evaluations.
Our findings reinforce the use of just-in-time SBML and a medicine procedure service and show the benefit of continued supervision with multimodal assessments regardless of competency level assigned by a procedure competency committee.
不同专业的即将毕业的住院医师在成为专科住院医师、带教教师或执业医疗人员后，都需要进行床旁操作。因此，需要制定一个有针对性的结构化课程来加强操作培训。
我们旨在引入可重复的操作培训框架和工具。
弗吉尼亚联邦大学内科住院医师在一个由1200张住院床位组成的双三级医疗系统医院中轮转。
分类内科住院医师参与了本课程，在课程实施前后，他们在年龄、性别或从事与操作相关领域的住院医师比例方面没有显著差异。
操作课程包括针对床旁操作的即时模拟掌握学习（SBML），随后在临床环境中进行全面监督，并进行多模式评估，无论操作能力委员会自行决定的能力水平如何。
住院医师通过对教师、SBML课程、操作轮转和项目评估的专门评估提供反馈。
我们的研究结果支持即时SBML和内科操作服务的使用，并表明无论操作能力委员会指定的能力水平如何，通过多模式评估进行持续监督都有好处。
